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Summary of Contents for Getinge Arjohuntleigh Citadel Plus
- Page 1 Citadel Plus Bariatric Care System Instructions for Use ...with people in mind 831.484 Rev B • 12/2018...
- Page 2 Design Policy and Copyright ® and ™ are trademarks belonging to the ArjoHuntleigh group of companies unless otherwise stated. © ArjoHuntleigh 2017 As our policy is one of continuous improvement, we reserve the right to modify designs without prior notice. The content of this publication may not be copied either wholly or in part without the consent of ArjoHuntleigh.
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Page 3: Table Of Contents
Table of Contents General Warnings ........................5 • Safety Information ......................8 • Power Drive System Safety Information ................10 Introduction ...........................12 • Product Overview ......................12 • Optional features ......................13 • Clinical Applications ......................15 • Intended Use ........................15 • Indications ........................15 • Contraindications ......................15 •... - Page 4 • Weighing ........................39 • Weighing Units .......................40 • Auto Compensation......................40 • Weighing System Error Codes ..................41 • Angle Indication.......................41 • VariZone Patient Movement / Exit Detection ..............42 • VariZone Operation ......................43 • Anti-Entrapment System ....................44 • RS232 Connection ......................45 • Controls for Television and Lighting ................46 Power Drive ..........................47 •...
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Page 5: General Warnings
GENERAL WARNINGS The following warnings should be considered prior to using this product: Before using the bed, make sure that the Power in rating on the To make sure the patient can use the bed safely, their age and condition down tilt (Trendelenburg) or foot down tilt (reverse Trendelenburg) may All accessories added to the system reduce the safe working load of the If the power cord or plug is damaged, the complete assembly must be... - Page 6 Prior to engaging any mattress turn feature, make sure that bed frame has side rails and that all side rails are fully engaged in their full upright Patient restraints should be used in compliance with all applicable federal and state regulations and in accordance with the healthcare Patient restraints, even when correctly used, can result in entrapment or to use patient restraints must be made by the clinician overseeing the care of the individual patient, following a fully documented risk...
- Page 7 The weighing system cannot be zeroed if a mattress or accessories should be performed under the supervision of an appropriate healthcare The manual CPR release should only be used in an emergency; power if the function has not been locked on the Attendant Control recommends that the Citadel Plus Bariatric Care System be cleaned during use and between patients according to the Care and Cleaning blood borne pathogens may be used provided the manufacturer’s...
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Page 8: Safety Information
Safety Information General Protocols – Follow all applicable safety rules and institution protocols concerning patient and caregiver safety. Brakes – Set all caster brakes before transferring patient. Bed Height – To minimize risk of falls or injury, the bed should always be in the lowest practical position when the patient is unattended. - Page 9 patient needs, and should discuss use or non-use with patient and / or family. Consider not only the clinical and other needs of the patient but also the risks of fatal or serious injury from falling out of bed and from patient entrapment in or around the side rails, restraints or other accessories.
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Page 10: Power Drive System Safety Information
Turning - Prior to engaging any mattress turn feature, make sure that bed frame has side rails and that all side rails are fully engaged in their full upright and locked position. Do not activate the turning feature on any mattress system when patient restraints are in use. - Page 11 Avoid Trapping People - Ensure there is space to operate before forward or reverse movement. Take caution in crowded areas to prevent trapping a patient or caretaker between bed frame and wall, furniture, equipment or other objects. Crowded Areas - Operate with caution in crowded hallways, elevators and rooms. Navigate Slowly - Use slow speed when moving bed around corners and through elevators and rooms.
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Page 12: Introduction
INTRODUCTION These instructions contain information for the installation, use and maintenance of the ArjoHuntleigh Citadel™ Plus Bariatric Care System. These beds have multiple functions to help provide optimal care and safety for both patient and care giver. Product Overview Figure 1: Product overview A. -
Page 13: Optional Features
All Citadel Plus beds have the following standard features: • Folding split side rails with integrated bed controls • Electrical adjustment of bed height and leg section elevation • Electrically operated retracting backrest • Auto-Chair facility • Electrical adjustment of head down tilt (Trendelenburg) and foot down tilt (reverse Trendelenburg) •... - Page 14 located on the bed frame below the head board. Before using the bed, make sure that the power-in rating on the Citadel Bariatric Care System ArjoHuntleigh AB 522 kg Hans Michelsensgatan 10 211 20 Malmö, SWEDEN 1150 lb 0086 IPX4 www.arjohuntleigh.com YYYY-MM-DD DUTY 10% 2 min ON / 18 min OFF...
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Page 15: Clinical Applications
CLINICAL APPLICATIONS Intended Use The Citadel Plus Bariatric Care System is intended for the acute and post-acute care environments. It is not intended for use in the home care environment. The bed is suitable for use in the following situations: •... -
Page 16: General Product Information
General Product Information Safe working load (SWL)....... 522 kg (1150 lb) Maximum patient weight........ 454 kg (1000 lb) The recommended patient height is between 146 cm (58 in) and 190 cm (75 in). At the discretion of the care giver, patients taller than 190 cm (75 in) may be accommodated by extending the bed - refer to bed length adjustment on page 24. -
Page 17: Installation
INSTALLATION The following chapter describes how to install the bed. Weighing System Preparation Remove the four transport locking bolts (1) and washers (2); there are two locking bolts at the head end of the bed and two at the foot end. Max 522 kg (1150 lb) Figure 4: Removing the transport bolts... -
Page 18: Electricity Supply
Electricity Supply connect the bed to the electricity supply for at least 24 hours to allow the backup battery to recharge fully; failure to do this may reduce the life of the battery. After charging, check that the battery is fully serviceable by carrying out a battery test as shown on page 59. -
Page 19: Potential Equalization Terminal
Potential Equalization Terminal A potential equalization terminal (Figure 6, item 3) is located at the head end of the bed. When other electrical equipment is within reach of the patient or care giver, potential differences between the equipment can be minimized by connecting together their potential equalization terminals. -
Page 20: Auxiliary Power Outlet
Verify correct operation of the nurse call system before placing a Connecting devices not designed to be used with the bed may result to do so could result in damage to the bed or to other hospital Breakaway connection Connect to Connect to Nurse call system Figure 7: Example of an in-line breakaway connector... -
Page 21: Skin Iq Family Power Cable
Skin IQ Family Power Cable Skin IQ Power Cable is provided for powering Skin IQ. This feature remains powered for four hours when the bed is on battery backup. A 12 VDC power cable is located at the foot end of the bed which provides a connection point for the Skin IQ of products. Skin IQ Installation 1. - Page 22 • Specialty powered air / foam replacement mattresses will typically envelop the patient when loaded and can generally be deeper than a foam mattress without compromising safety. Other makes of specialty mattress replacement must be Make sure the distance between top of side rails (if used) and top of a speciality mattress (without compression) is approximately position (relative to the top of the side rail) and patient condition in assessing fall risk.
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Page 23: Operating Instructions
OPERATING INSTRUCTIONS It is recommended that all chapters of this manual be reviewed prior to product use. Carefully read the Contraindications, Risks and Precautions, Safety Information sections in the Introduction chapter of this manual prior to placing a patient on the Citadel Plus Bariatric Care System. Lifting Pole and Accessory Sockets Lifting pole sockets (1) are located at the head end of the deck. -
Page 24: Drainage Bag Rails
Drainage Bag Rails Rails (1) to support drainage bags, etc. are located below the thigh and backrest sections on either side of the bed. Figure 12: Drainage bag rails The maximum weight that can be safely supported by each drainage Items placed on the drainage bag rails (such as patient drains and Bed Length Adjustment The length of the bed is adjustable to three set positions. - Page 25 To extend the bed frame: Pull Out Pull Out To retract the bed frame: Push In Pull Out To extend the deck: Pull Out Pull Out To retract the deck: Pull Out Push In Citadel Plus Bariatric Care System...
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Page 26: Bed Width Adjustment
Bed Width Adjustment To extend the width of the frame: 1. Locate the eight width extension latches located behind the extension symbol (four per side). Figure 13: Patient Left Side Labels Figure 14: Patient Right Side Labels 2. Squeeze extension latch to unlock and pull section until fully extended. Figure 15: Unlock width extension 3. -
Page 27: Foot Pedal For Adjustment Of Bed Height
Foot Pedal for Adjustment of Bed Height (Optional Feature) Bed height can be adjusted from bed control panels and from the foot pedal located near the foot end of the bed. Figure 16: Foot Pedal Adjustment Label Lift cover of pedal with foot and press left side to raise the bed height. Press right side of pedal to lower bed height. -
Page 28: Side Rails
Side Rails Side rails are not intended to restrain patients who make a deliberate Make sure that the mattress is suitable for use with side rails - see To prevent possible entrapment, make sure the patient’s head and To lower the side rail: 1. -
Page 29: Head And Foot Boards
Head and Foot Boards The head and foot boards can be easily lifted off the bed for access to the patient. To remove, pull straight up on the handle. To replace, align the rods with the holes in the frame and push straight down. Figure 19: Align head / foot board with holes in frame to replace Patient Restraints Patient restraints can be attached to either side of the deck frame. -
Page 30: Under Bed Light
Max 522 kg (1150 lb) Figure 20: Patient restraint attachment points (circled) Restraint straps should be attached as shown below to prevent sliding along the deck frame. Backrest and calf section: feed the strap between the guide (1) and the frame of the backrest or calf section (2). Thigh section: feed the strap around the thigh section frame (3) between the cross-members (4). -
Page 31: Backup Battery
Backup Battery The backup battery allows operation of the bed for short periods when it is unplugged from the electricity supply or in emergency situations when the electricity supply is not available. When the bed is unplugged from mains power, it enters a low-power mode to conserve battery power. -
Page 32: Recharging The Backup Battery
Recharging the Backup Battery If the battery is left uncharged for long periods, its operational life will To recharge the battery, connect the bed to the electricity supply. Allow at least eight hours to recharge the battery when it is completely uncharged. While the battery is recharging, the ACP battery indicator LED lights yellow. -
Page 33: Attendant Control Panel, Nurse Control Panel And Patient Control Panel
Attendant Control Panel (ACP), Nurse Control Panel and Patient Control Panel Figure 22: Attendant Control Panel Figure 23: Nurse Control Panel Figure 24: Patient Control Panel Power On Indicator - Indicator LED lights when the bed is connected to the electricity supply. - Page 34 Thigh Section - These buttons raise and lower the thigh section. When the the fowler position (angled downwards). Calf Section - These buttons raise and lower the calf section. Trendelenburg - This button lowers the head end of the deck (Trendelenburg position).
- Page 35 Under bed Light the bed. Press this button to turn the under bed lights on or off. The indicator LED above the button will light when the under bed lights are on. Nurse Call - Press the Nurse Call button to request assistance. The At the nurse’s station, the call location will be displayed and / or an audible alert will sound, depending on the type of nurse call system.
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Page 36: Patient Handset (Optional Feature)
Patient Handset (Optional Feature) The controls on this handset operate in the same way as those on the side rails. Store the handset on the split side rail using the clip on the back; this The patient should be shown how to use the handset by the care Take care not to squeeze or trap the handset cable between moving Figure 25: Patient handset Citadel Plus Bariatric Care System... -
Page 37: Weigh Scale Panels (With And Without Unit Selection)
Weigh Scale Panels (With and Without Unit Selection) Max 522 kg (1150 lb) Approval No. UK2823 2009/23/EC Max 522 kg Min 10 kg e = 500 g Figure 26: Weigh Scale Panels (Dependent on country) Display - indicates the patient’s weight. It can also be used to show other information. -
Page 38: Weighing Accuracy
Weighing Accuracy Patient weighing system 500g (1 lb) Minimum capacity 10kg (22 lb) Maximum capacity 522kg (1150 lb) Approvals Complies with 90/383/EEC Class III. The weighing system is very sensitive and can be affected by a number of The weighing system is very sensitive and can be affected by a number of external factors. -
Page 39: Weighing Initialization
Weighing Initialization After connecting the bed to the electricity supply, the weighing system must be initialized as follows: 1. Place the mattress, bed linen and all necessary accessories on the bed. The patient must not be on the bed at this point. 2. -
Page 40: Weighing Units
Weighing Units On select models, weight readings can be viewed in pounds or kilograms by pressing the Select Units button. An indicator LED next to the display will light to show the selected units (lb or kg), if equipped. To lock the Select Units button so that the display always shows readings in either pounds or kilograms, if equipped: 1. -
Page 41: Weighing System Error Codes
Weighing System Error Codes Error codes are shown on the display. They are used to indicate a problem with the weighing system; this may be due to an operator error or a possible fault condition. The table below shows common error code displays with their causes and solutions. Display Cause Solution... -
Page 42: Varizone Patient Movement / Exit Detection
VariZone Patient Movement / Exit Detection The patient movement detection system can be set to alarm when undesired movement of the patient occurs. The sensitivity of the patient movement detection, relative to the center of the deck, can be varied incrementally. The controls for the patient movement detection system are located on the foot end split side rails. -
Page 43: Varizone Operation
VariZone Operation Before activating patient movement detection, make sure that: • The patient’s weight has been measured and recorded. • All additional items (example: accessories) have been accounted for using the Auto Compensation function. • The weighing system display is blank. Before using patient movement detection, verify that the alarm can be To activate patient movement detection, press and hold either the In Bed button or Egress button for two seconds. -
Page 44: Anti-Entrapment System
To cancel the alarm or deactivate patient movement detection: Press the In Bed button or Egress button once. The alarm will be silenced and the threshold display indicator will go out to show that movement detection is deactivated. To silence the alarm: Press the VariZone mute button. The alarm will be silenced for three minutes and the VariZone system will be re-enabled once patient weight is returned to the bed. -
Page 45: Rs232 Connection
The bed continuously transmits data about its status through an RS232 connection at the head end of the bed (see page 19). The transmitted data can be recorded by a compatible device. Data is transmitted every ten seconds and includes the following information: •... -
Page 46: Controls For Television And Lighting
Controls for television and lighting Button controls for television and lighting are located on the head end side rails. The side rails also contain loudspeakers for television sound. Figure 30: TV and lighting controls (patient’s left hand side) 1. Closed Captioning on / off 2. -
Page 47: Power Drive
POWER DRIVE The Power Drive System is designed to provide powered transport for the Citadel Plus Bariatric Bed Frame System. The power drive system provides assist in forward and backward movement only. Left and right hand steering is controlled by the user. -
Page 48: Operating Power Drive
Operating Power Drive WAKE UP - Squeeze Engage Drive Wheel Trigger Once Squeeze and Hold Trigger - Trigger must be engaged for entire duration Select Direction of power drive use Squeeze Right Hand Trigger To Increase Forward Speed Citadel Plus Bariatric Care System... - Page 49 • Hold down right hand trigger to go to full speed forward. • Release right hand trigger to go half-speed forward. • Bed will always move at slow speed when moving in reverse or while going down an incline, even while holding down trigger. Power Drive Speeds in kph (mph) Full-speed forward 5 kph (3 mph)
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Page 50: Patient Placement
PATIENT PLACEMENT It is recommended that all chapters of this manual be reviewed prior to product use. Carefully read the Contraindications, Risks and Precautions, Safety Information sections in the Introduction chapter of this manual prior to placing a patient on the Citadel Plus Bariatric Bed Frame System. Power On 1. -
Page 51: Completion Of Patient Placement
Completion of Patient Placement 1. Press the In Bed or Egress buttons to activate and set the desired sensitivity of the VariZone patient movement detection system. Adjust patient surface for patient comfort. 2. Bring the bed to the lowest practical height for patient comfort. 3. -
Page 52: Nursing Care
NURSING CARE It is recommended that all chapters of this manual be reviewed prior to product use. Carefully read the Contraindications, Risks and Precautions Safety Information sections of the Introduction chapter of this manual prior to performing nursing care for a patient on the Citadel Plus Bariatric Bed Frame System. The following steps indicate how to place the bed into the CPR position. -
Page 53: Cpr Backrest Release
CPR Backrest Release CPR backrest release handles are located below the calf section on either side of the bed. If the patient suffers a cardiac arrest, pull the CPR backrest release handle. This will lower the backrest to enable cardiopulmonary resuscitation to be performed. Max 522 kg (1150 lb) Figure 32: CPR backrest release... -
Page 54: Patient Transfer From The Citadel Plus Bariatric Bed Frame System
Patient Transfer from the Citadel Plus Bariatric Bed Frame System 1. Level patient surface. 2. Adjust height of patient surface to same level as surface to which patient is being transferred. 3. Make sure caster brakes on both units are locked. 4. -
Page 55: Care And Cleaning
CARE AND CLEANING Deck Sections The four deck sections (backrest, seat, thigh and calf) can be removed by pulling them upwards off the deck frame. Lift off the calf extension sheet before removing the calf section. Figure 33: Deck sections (top view) To replace each section, make sure it is correctly positioned on the deck frame then Replace the calf extension sheet (1) by clipping it over the end of the deck frame. - Page 56 The bed should be cleaned and disinfected weekly, and before a new patient is placed on the bed. Cleaning • Remove the mattress and all accessories from the bed. • The head / foot boards and deck sheets should be removed from the bed for cleaning.
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Page 57: General Recommendations
General Recommendations The following are the ArjoHuntleigh-recommended cleaning and infection control procedures for the Citadel Plus Bariatric Care System while it is in use. It is recommended that all sections of this guide be reviewed prior to product use. Carefully read the Risks and Precautions Safety Information sections in the... -
Page 58: Preventive Maintenance
PREVENTIVE MAINTENANCE This product is subject to wear and tear during use. To make sure that it continues to carried out at the intervals shown. This list indicates the minimum recommended level of preventive product is subjected to heavy use, aggressive environments or where Failure to carry out these checks, or continuing to use the product if a fault is found, may compromise the safety of both the patient and care Actions to be completed by care giver... -
Page 59: Weighing System
Yearly Check that the bed operates correctly using the backup battery as described in the section Battery Test section below Check operation of the casters, paying special attention to braking and steering functions Check that the bed extension locks securely in all three positions Examine the power cord and mains plug;... -
Page 60: Troubleshooting
TROUBLESHOOTING If the equipment fails to operate correctly, the table below suggests some simple checks and corrective actions. If these steps fail to resolve the problem, contact ArjoHuntleigh or an ArjoHuntleigh-approved service agent. Symptom Possible Cause Action Audible tone when using the bed Bed is operating from the Check that the power supply cord is plugged in backup battery... -
Page 61: Error Codes
Symptom Possible Cause Action Troubleshooting Power Drive Bed plugged into wall Check Bed status LEDs and determine if bed is outlet plugged into wall Caster brakes engaged Check Bed status LEDs and brake pedals Battery too low Check Bed status LEDs Power Drive will not function Power Drive wheels not Inspect Power Drive pedal, ensure wheels are... -
Page 62: Fault Indications
Fault Indications The bed’s control software indicates problems in the electrical system by means of indications below, contact ArjoHuntleigh or an ArjoHuntleigh-approved service agent. Indication Possible cause Height actuator fault (foot end) Height actuator fault (head end) Backrest actuator fault Thigh section actuator fault Calf section actuator fault Control unit fault... -
Page 63: Electromagnetic Compability (Emc)
ELECTROMAGNETIC COMPABILITY (EMC) Product has been tested for compliance with current regulatory standards regarding its capacity to block EMI (electromagnetic interference) from external sources. Some procedures can help reduce electromagnetic interferences: • Use only ArjoHuntleigh cables and spare parts to avoid increased emissions or decreased immunity which can compromise the correct functioning of the equipment. - Page 64 Guidance and manufacturer’s declaration – electromagnetic immunity 3V in 0,15 MHz to 3V in 0,15 MHz to 80 Conducted 80 MHz disturbances 6V in ISM and 6V in ISM and amateur inducted by RF amateur radio bands radio bands between between 0,15 MHz 0,15 MHz and 80 MHz EN 61000-4-6...
- Page 65 Guidance and manufacturer’s declaration – electromagnetic immunity Voltage dips, short 0% UT; 0,5 cycle interruptions and At 0°, 45°, 90°, 135°, 0% UT; 0,5 cycle voltage variations 180°, 225°, 270° At 0°, 45°, 90°, 135°, on power supply and 315° 180°, 225°, 270°...
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Page 66: Warranty And Service
WARRANTY AND SERVICE ArjoHuntleigh standard terms and conditions apply to all sales; a copy is available on request. The standard terms and conditions contain full details of warranty terms and do not limit the statutory rights of the consumer. For service, maintenance and any questions regarding this product, please contact Questions and Information section. - Page 67 SPECIFICATIONS General Safe working load 522 kg (1150 lb) Maximum patient weight 454 kg (1000 lb) Product weight (approx.) with power drive 360 kg (793 lb) Product weight (approx.) without power drive 306 kg (675 lb) Audible noise <35dB approx. Operating conditions Temperature 14°C to 35°C (58°F to 95°F)
- Page 68 In-bed length Position 1 (Transport) 202 cm (80 in) Position 2 (Standard) 214 cm (84 in) Position 3 (Extended) 224 cm (88 in) Overall width 103 cm (40.6 in) Overall width extended 134 cm (52.7 in) With 150 mm (5.9 in) castors 36 cm to 80 cm (14.1 to 31.5 in) Flat Deck Sheets Head down tilt angle 12°...
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Page 69: Explanation Of Symbols Used
EXPLANATION OF SYMBOLS USED Temperature Low and High Limits E348583 IPX4 No Hooks Protected against ingress of liquids Important Operational Information Auxiliary Power Outlet Warning of possible hazard to system, Refer to Instructions for Use patient or staff Conforms with the Medical Device Directive (93/42/EEC) and has been Serial Number subject to the conformity procedures laid... - Page 70 Maximum Patient Weight Safe Working Load Tripping Hazard Do Not Shower Protective earth (ground) Cardiopulmonary Resuscitation Recommended Mattress Size Patient Height 15 - 20.5 cm (6 - 8 in) 830.209 Rev D 830.229 Rev C Citadel Plus Bariatric Care System...
- Page 71 AUSTRALIA FRANCE Arjo Australia Pty Ltd Arjo SAS Arjo Polska Sp. z o.o. 78, Forsyth Street 2 Avenue Alcide de Gasperi O’Connor CS 70133 AU-6163 Western Australia FR-59436 RONCQ CEDEX Tel: +48 61 662 15 50 Tel: +61 89337 4111 Tél: +33 (0) 3 20 28 13 13 Fax: +48 61 662 15 90 Free: +1 800 072 040...
- Page 72 ArjoHuntleigh AB Hans Michelsensgatan 10 211 20 Malmö, Sweden www.arjohuntleigh.com ArjoHuntleigh is a world-leading provider of integrated products and solutions that improve the lives of patients and residents with reduced mobility. We help healthcare facilities deliver wellness and effective everyday care, early mobilisation, safe patient handling, venous thromboembolism prevention, pressure injury prevention, hygiene routines, bariatric care and diagnostics.
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